Contracts for pharmaceuticals can be very similar to any other supplier contracts, and this is not only for unusual prescriptions.
From my understanding, having a bulk or longer term contract with a supplier can reduce the amount charged per item.
As earlier this year a fuss was made about PCTs placing small orders that wasted money, a lot of them now are much more stringent about doing this, and will try to stick with a certain supplier to ensure costs are kept to a minimum, or budgeted amount.
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